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Acute Inpatient Medical Settings

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On-Call Geriatric Psychiatry

Abstract

Many on-call geriatric psychiatric consultation requests arise from the general hospital intensive care, surgical or medical units, and the emergency department. While there are commonalities among the psychiatric illnesses seen in these settings, there are important operational differences among these venues in providing on-call geriatric psychiatric consultation, so these hospital settings will be discussed separately. Due to the physical complications of illness and other factors common in hospital cases, communication barriers must often be addressed to accomplish consultations. Representative psychiatric clinical scenarios common in the general hospital are discussed in the hospital context. Finally, decisional capacity determinations are a significant part of hospital-based psychiatric consultation. Approaches to decisional capacity cases in the acute hospital settings are summarized.

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Author information

Authors and Affiliations

  1. Department of Psychiatry/Langley Porter Psychiatric Institute, University of California San Francisco, San Francisco, CA, USA

    James A. Bourgeois OD, MD

  2. Geriatric Clinical Nurse Specialist Co-Chair Bioethics Committee, Kaiser Permanente South Sacramento Medical Center, Sacramento, USA

    Deborah C. Francis RN, MSN, GCNS-BC

  3. Department of Psychiatry and Behavioural Neurosciences, Division of Geriatric Psychiatry, Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada

    Ana Hategan MD

Authors
  1. James A. Bourgeois OD, MD
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  2. Deborah C. Francis RN, MSN, GCNS-BC
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  3. Ana Hategan MD
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Corresponding author

Correspondence to James A. Bourgeois OD, MD .

Editor information

Editors and Affiliations

  1. Dept. of Psychiatry & Behavioural Neuros, McMaster University, Hamilton, Ontario, Canada

    Ana Hategan

  2. Dept. of Psychiatry/Langley Porter Psych, University of California San Francisco, San Francisco, New York, USA

    James A. Bourgeois

  3. Dept.of Internal Med.,Div of General Med, University of California Davis, Sacramento, California, USA

    Calvin H. Hirsch

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© 2016 Springer International Publishing Switzerland

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Bourgeois, J.A., Francis, D.C., Hategan, A. (2016). Acute Inpatient Medical Settings. In: Hategan, A., Bourgeois, J., Hirsch, C. (eds) On-Call Geriatric Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-30346-8_18

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  • DOI: https://doi.org/10.1007/978-3-319-30346-8_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-30344-4

  • Online ISBN: 978-3-319-30346-8

  • eBook Packages: MedicineMedicine (R0)

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